Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People

Post-traumatic Stress Disorder Clinical Trial

— TRAUMADOPSY  

Official title:

Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06138522
• Other study ID #: APHP231046
• Secondary ID: 2023-A01689-36
• Status: Recruiting
• Start date: November 30, 2023
• Est. completion date: June 2027

Study information

• Verified date: January 2024
• Source: Assistance Publique - Hôpitaux de Paris
• Contact: Sevan Minassian, MD
• Phone: 00 33 1 58 41 24 29
• Email: sevan.minassian[@]aphp.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents. Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

Description:

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents. Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: June 2027
• Est. primary completion date: November 2026
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years and older

Eligibility

Inclusion Criteria:

Teenagers :

• Teenagers from 12 to 18 years old
• Post-traumatic stress disorder (DSM Criteria 5 Post-Traumatic Stress Disorder)
• Consultant at the Maison de Solenn (Maison des Adolescents)
• Affiliated to a social security scheme Parents : parents of adolescents followed at the MDA and agreeing to participate in the study Professionals: providing psychotherapeutic follow-up for adolescents at the MDa

Exclusion Criteria:

• Refusal of the adolescent and/or his/her family (if applicable) to participate in the study,
• Adults (all groups combined): under guardianship or curatorship, under judicial protection

Related Conditions & MeSH terms

• Post-traumatic Stress Disorder
• Stress Disorders, Post-Traumatic
• Stress Disorders, Traumatic

Intervention

Behavioral:
• Semi-structured interviews
Semi-structured interviews
• Child Post-Traumatic Stress Response Index (CPTS-RI) scale
Child Post-Traumatic Stress Response Index (CPTS-RI) scale
• - Therapeutic Alliance Questionnaire (HAQ-CP)
- Therapeutic Alliance Questionnaire (HAQ-CP)

Locations

Country	Name	City	State
France	University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France	Paris	IDF

Sponsors (1)

Lead Sponsor	Collaborator
Assistance Publique - Hôpitaux de Paris

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Semi-structured interviews	Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents)	At the end of the psychotherapy (up to month 12)
Secondary	Child Post-Traumatic Stress Response Index (CPTS-RI) scale	Evolution of psychotraumatic symptoms in adolescents (CPTS-IR) between the beginning (T1) and the end of psychotherapy (T2) (adolescents).; The Child Posttraumatic Stress Reaction Index (CPTS-RI) measures the presence of post-traumatic stress disorder: Severity is generally assessed according to the following criteria: 0 - 11: mild, 11 - 24: mild, 25 - 39: moderate, 40 - 59: severe, 60 - 80: very severe.	At the end of the psychotherapy (up to month 12)
Secondary	Therapeutic Alliance Questionnaire (HAQ-CP)	Perception of change, the therapeutic alliance perceived by adolescents, parents and therapists at the end of psychotherapy (adolescents + parents + professionals).; The Helping Alliance Questionnaires for Child and Parents (HAQ-CP) assesses the quality of the therapeutic alliance.; Answers to the questionnaires produce 2 scores: An alliance score ranging from 0 (weak alliance) to 100 (strong alliance) A well-being score ranging from 0 (feeling unwell) to 10 (feeling well).	At the end of the psychotherapy (up to month 12)
Secondary	Semi-structured interviews	Experience at the end (T2) of psychotherapy (parents)	At the end of the psychotherapy (up to month 12)